|
Cystoscopy removal of clots
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystoscopy & revise urethra
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
|
|
Cystoscopy & revise urethra
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
|
|
Cystoscopy stone removal
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
|
|
Cystoscopy & ureter catheter
|
$2,424.12 |
$2,424.12 |
$5,573.38 |
|
|
Cystostomy cystotomy w/drainage 51040
|
$2,424.12 |
$2,424.12 |
$6,491.00 |
|
|
Cystotomy/cystostomy fulg+/insj radact matrl 51020
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystotomy excise/incise/repair 51535
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystouretero & or pyeloscope
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cysto/uretero stricture tx
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystouretero w/biopsy
|
$5,650.88 |
$6,015.75 |
$6,015.75 |
|
|
Cystouretero w/excise tumor
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
|
|
Cysto/uretero w/lithotripsy
|
$5,844.61 |
$6,015.75 |
$6,015.75 |
|
|
Cystouretero w/lithotripsy
|
$5,048.69 |
$6,015.75 |
$6,015.75 |
|
|
Cystouretero w/renal strict
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
|
|
Cystouretero w/stone remove
|
$4,081.37 |
$4,081.37 |
$6,237.60 |
|
|
Cysto/uretero w/up stricture
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystourethro cut ejacul duct
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,424.12 |
$2,424.12 |
$5,191.40 |
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$2,424.12 |
$2,424.12 |
$4,357.28 |
|
|
Cystourethro w/addl implant 52442
|
$1,611.14 |
$1,611.14 |
$1,611.14 |
|
|
Cystourethro w/implant
|
$6,556.66 |
$6,556.66 |
$6,556.66 |
|
|
Cysto w/renal stricture tx
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cysto w/up stricture tx
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cysto w/ureter stricture tx
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
Cytarabine 20 mg/ml injection solution
|
$3.28 |
$3.28 |
$10.80 |
|
|
Cytarabine liposome inj
|
$2,074.80 |
$2,074.80 |
$2,074.80 |
|
|
Cytog alys chrml abnr lw-ps
|
$1,197.94 |
$1,197.94 |
$1,197.94 |
|
|
Cytogenetics 25-99
|
$42.38 |
$42.38 |
$652.00 |
|
|
Cytogenetics 3-5
|
$40.70 |
$40.70 |
$40.70 |
|
|
Cytogenomic neo microra alys
|
$1,160.00 |
$1,160.00 |
$3,795.89 |
|
|
Cytogenom microarray copy nmbr var
|
$900.00 |
$900.00 |
$3,246.96 |
|
|
Cytog genom-wid alys hem mal
|
$1,263.53 |
$1,263.53 |
$1,263.53 |
|
|
Cytomegalovirus ag ia
|
$11.98 |
$11.98 |
$11.98 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$14.39 |
$14.39 |
$217.00 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$16.85 |
$16.85 |
$303.00 |
|
|
Cytomegalovirus dfa
|
$13.42 |
$13.42 |
$13.42 |
|
|
Cytomegalovirus imm IV /vial
|
$119.87 |
$1,814.94 |
$1,814.94 |
|
|
Cytomeg dna dir probe
|
$30.03 |
$30.03 |
$108.34 |
|
|
Cyto/molecular report
|
$54.60 |
$95.50 |
$152.00 |
|
|
Cytopath c/v auto in fluid
|
$25.37 |
$25.37 |
$25.37 |
|
|
Cytopath c/v automated
|
$50.56 |
$50.56 |
$50.56 |
|
|
Cytopath c/v auto redo
|
$27.64 |
$27.64 |
$98.00 |
|
|
Cytopath c/v auto rescreen
|
$18.19 |
$18.19 |
$18.54 |
|
|
Cytopath c/v index add-on
|
$14.65 |
$14.65 |
$76.00 |
|
|
Cytopath c/v manual
|
$18.19 |
$18.19 |
$18.54 |
|
|
Cytopath c/v redo
|
$24.03 |
$24.03 |
$24.03 |
|
|
Cytopath c/v thin layer redo
|
$23.04 |
$23.04 |
$23.04 |
|
|
Cytopath fl nongyn filter
|
$28.98 |
$28.98 |
$485.00 |
|
|
Cytopathology cellular enhancement technique non-gyn
|
$63.23 |
$63.23 |
$533.29 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$26.61 |
$26.61 |
$215.00 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$20.26 |
$20.26 |
$183.00 |
|
|
Cytopathology concentration technique smears & interpretation
|
$46.45 |
$46.45 |
$564.24 |
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$46.45 |
$46.45 |
$434.95 |
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$82.89 |
$88.49 |
$108.91 |
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$35.40 |
$202.78 |
$453.33 |
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$63.23 |
$63.23 |
$715.00 |
|
|
Cytopath smear other source
|
$28.98 |
$28.98 |
$118.00 |
|
|
Cytopath smear other source
|
$63.23 |
$63.23 |
$248.00 |
|
|
Cytopath smear oth prep screen & interp
|
$28.98 |
$29.55 |
$497.61 |
|
|
Cytopath tbs c/v auto redo
|
$18.19 |
$18.19 |
$18.54 |
|
|
Cytopath tbs c/v manual
|
$18.19 |
$18.54 |
$114.00 |
|
|
Cytopath tbs c/v redo
|
$42.22 |
$42.22 |
$42.22 |
|
|
Cytopath tbs c/v select
|
$18.19 |
$18.19 |
$18.54 |
|
|
Cytotoxic antibody screening
|
$78.65 |
$78.65 |
$245.11 |
|
|
Cytotoxic antibody screening
|
$29.68 |
$29.68 |
$242.00 |
|
|
Cytp urine 3-5 probes cmptr
|
$202.78 |
$202.78 |
$926.00 |
|
|
Dacarbazine 100 mg intravenous solution
|
$21.40 |
$40.12 |
$40.12 |
|
|
Dactinomycin 0.5 mg intravenous solution
|
$282.13 |
$282.13 |
$1,199.84 |
|
|
Dalbavancin 500 mg intravenous solution
|
$15.61 |
$15.61 |
$3,272.50 |
|
|
Dalteparin sodium
|
$231.74 |
$231.74 |
$231.74 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$0.05 |
$0.06 |
$797.40 |
|
|
Daptomycin (xellia) unrefrig
|
$0.04 |
$0.04 |
$98.18 |
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$51.41 |
$51.41 |
$2,326.92 |
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$3.04 |
$3.04 |
$2,383.80 |
|
|
Darbepoetin alfa, esrd use
|
$3.04 |
$3.04 |
$9.07 |
|
|
Dark field exam spec collj
|
$10.74 |
$10.74 |
$10.74 |
|
|
Dark field exam without collj
|
$11.30 |
$11.30 |
$11.30 |
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$242.50 |
$242.50 |
$36,592.50 |
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$24.44 |
$24.44 |
$57.59 |
|
|
Dbrdmt prmlg les w/pdt
|
$235.13 |
$235.13 |
$235.13 |
|
|
D&c after delivery 59160
|
$3,762.53 |
$3,762.53 |
$8,297.80 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,762.53 |
$3,762.53 |
$8,188.62 |
|
|
Dch glucoscan
|
$5.04 |
$5.04 |
$40.00 |
|
|
Dch pulmonary stress test
|
$368.50 |
$381.24 |
$1,412.00 |
|
|
Dch validity tests
|
$3.48 |
$3.48 |
$107.00 |
|
|
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
|
|
Dcmprn orbit only transcrnl
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
|
|
Dcmprn plantar digital nerve
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
|
|
D&c of cervical stump
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
|
|
Deamidated gliadin antibody iga
|
$7.00 |
$12.05 |
$35.93 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$178.80 |
$724.37 |
$1,772.72 |
|
|
Debridement (>20 cm) charge pt
|
$212.14 |
$394.61 |
$860.00 |
|
|
Debridement bone <= 20 sq cm
|
$305.69 |
$1,917.33 |
$4,919.31 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$178.80 |
$761.82 |
$1,508.00 |
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$668.22 |
$1,213.28 |
$1,672.01 |
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$178.80 |
$472.79 |
$1,483.00 |
|
|
Debride nail1-5 11720
|
$56.40 |
$70.29 |
$532.00 |
|
|
Debride nail6 or more 11721
|
$56.40 |
$70.29 |
$532.00 |
|
|
Debride/rmv fb/open fx/skin/sq/musc11011
|
$832.60 |
$832.60 |
$1,994.36 |
|